CADC exam prep Ch 3 (Addiction
Counselor's Desk Reference) Question
with Complete Solutions
Competencies & goals of treatment planning - Answer-1. Explain assessment findings
to the client and SO's involved in potential treatment.
2. Provide the client and SO's with clarification and further information on potential
treatment options as needed.
3. Obtain and interpret all relevant assessment information.
4. Examine treatment implications in collaboration with the client and SO's.
5. Confirm the readiness of the client and SO's to participate in tx.
6. Prioritize the client's needs in the order they will be addressed.
7. Formulate mutually agreed on measurable tx outcome statements for each need.
8. Identify appropriate strategies to achieve each outcome.
9. Coordinate tx activities with community resources.
10. Develop with the client a mutually acceptable plan of action and method for
monitoring and evaluating progress.
11. Inform client of confidentiality rights and program procedures that safeguard them,
as well as the exceptions imposed by regulations.
12. Reassess the treatment plan at regular intervals &/or when indicated by changing
circumstances.
Components of thorough client screening - Answer-1. Establish rapport, including
management of crisis situations and determination of the need for additional
professional assistance.
2. Gather data systematically from client and other collateral sources using screening
instrument & other methods that are sensitive to age, developmental level, culture, and
gender. At a minimum, data should include current and historic substance use; health,
mental health, and substance-related tx history; mental status; and current social,
environmental &/or economic constraints.
3. Screen for psychoactive substance toxicity, intoxication, and withdrawal symptoms;
aggression or danger to others; potential for self-inflicted harm or suicide; and
coexisting mental health problems.
4. Assist clients in identifying impact of substance use on current life problems and
effects of continued use.
5. Determine clients' readiness for tx and change as well as the needs of others
involved in current situation.
6. Review tx options that are appropriate for clients' needs, goals, characteristics, and
financial resources.
7. Apply accepted criteria for dx of substance use disorders in making tx
recommendations.
, 8. Construct with clients and appropriate others an initial action plan based on clients'
needs, preferences, and available resources.
9. Based on initial action plan, take specific steps to initiate an admission or referral to
ensure follow-through.
Diagnostic summary - Answer-Organizes all the available assessment information into
an integrated interpretation of the client's current status including personal history,
strengths, & challenges.
- Includes (but is not limited to): mental status, risk assessments, tx history, reasons for
treatment, physical health and nutritional status, substance use history, obstacles to
recovery, work history, intimate relationships and sexuality, beliefs & values, financial &
education hx, military experiences, legal problems, hobbies, personal assets & liability,
special issues, and readiness to learn.
Mild severity - Answer-Few, if any, symptoms in excess of those required to make the
diagnosis, and the symptoms result in no more than mild impairment in occupational
functioning or in usual social activities or relationships with others. (2-3 symptoms)
Moderate severity - Answer-Symptoms or functional impairment between "mild" &
"severe". (4-5 symptoms)
Severe severity - Answer-Many symptoms in excess of those required to make the dx,
and the symptoms markedly interfere with occupational functioning or with usual social
activities or relationships with others. (6+ symptoms)
Early full remission - Answer-For at least 1 month but less than 12 months, no
diagnostic criteria have been met.
Early partial remission - Answer-For at least 1 month but less than 12 months, some,
but not all, diagnostic criteria have been met.
Sustained full remission - Answer-No diagnostic criteria met for a year or more.
Sustained partial remission - Answer-Full criteria for dependence not met for 1-plus
years, but one or more criteria are met.
On agonist therapy - Answer-Using a prescribed medication, like Antabuse, to avoid
substance use.
In a controlled environment - Answer-EX: A jail or hospital
Treatment - Answer-A collaborative process though which the counselor and client
develop desired treatment outcomes and identify strategies for achieving them. At a
minimum, the treatment plan identifies the abused substance(s) & related disorders,
client motivation, and issues related to tx progress, including relationships with family,
SO's, employment, education, spirituality, health concerns, and legal needs.
Counselor's Desk Reference) Question
with Complete Solutions
Competencies & goals of treatment planning - Answer-1. Explain assessment findings
to the client and SO's involved in potential treatment.
2. Provide the client and SO's with clarification and further information on potential
treatment options as needed.
3. Obtain and interpret all relevant assessment information.
4. Examine treatment implications in collaboration with the client and SO's.
5. Confirm the readiness of the client and SO's to participate in tx.
6. Prioritize the client's needs in the order they will be addressed.
7. Formulate mutually agreed on measurable tx outcome statements for each need.
8. Identify appropriate strategies to achieve each outcome.
9. Coordinate tx activities with community resources.
10. Develop with the client a mutually acceptable plan of action and method for
monitoring and evaluating progress.
11. Inform client of confidentiality rights and program procedures that safeguard them,
as well as the exceptions imposed by regulations.
12. Reassess the treatment plan at regular intervals &/or when indicated by changing
circumstances.
Components of thorough client screening - Answer-1. Establish rapport, including
management of crisis situations and determination of the need for additional
professional assistance.
2. Gather data systematically from client and other collateral sources using screening
instrument & other methods that are sensitive to age, developmental level, culture, and
gender. At a minimum, data should include current and historic substance use; health,
mental health, and substance-related tx history; mental status; and current social,
environmental &/or economic constraints.
3. Screen for psychoactive substance toxicity, intoxication, and withdrawal symptoms;
aggression or danger to others; potential for self-inflicted harm or suicide; and
coexisting mental health problems.
4. Assist clients in identifying impact of substance use on current life problems and
effects of continued use.
5. Determine clients' readiness for tx and change as well as the needs of others
involved in current situation.
6. Review tx options that are appropriate for clients' needs, goals, characteristics, and
financial resources.
7. Apply accepted criteria for dx of substance use disorders in making tx
recommendations.
, 8. Construct with clients and appropriate others an initial action plan based on clients'
needs, preferences, and available resources.
9. Based on initial action plan, take specific steps to initiate an admission or referral to
ensure follow-through.
Diagnostic summary - Answer-Organizes all the available assessment information into
an integrated interpretation of the client's current status including personal history,
strengths, & challenges.
- Includes (but is not limited to): mental status, risk assessments, tx history, reasons for
treatment, physical health and nutritional status, substance use history, obstacles to
recovery, work history, intimate relationships and sexuality, beliefs & values, financial &
education hx, military experiences, legal problems, hobbies, personal assets & liability,
special issues, and readiness to learn.
Mild severity - Answer-Few, if any, symptoms in excess of those required to make the
diagnosis, and the symptoms result in no more than mild impairment in occupational
functioning or in usual social activities or relationships with others. (2-3 symptoms)
Moderate severity - Answer-Symptoms or functional impairment between "mild" &
"severe". (4-5 symptoms)
Severe severity - Answer-Many symptoms in excess of those required to make the dx,
and the symptoms markedly interfere with occupational functioning or with usual social
activities or relationships with others. (6+ symptoms)
Early full remission - Answer-For at least 1 month but less than 12 months, no
diagnostic criteria have been met.
Early partial remission - Answer-For at least 1 month but less than 12 months, some,
but not all, diagnostic criteria have been met.
Sustained full remission - Answer-No diagnostic criteria met for a year or more.
Sustained partial remission - Answer-Full criteria for dependence not met for 1-plus
years, but one or more criteria are met.
On agonist therapy - Answer-Using a prescribed medication, like Antabuse, to avoid
substance use.
In a controlled environment - Answer-EX: A jail or hospital
Treatment - Answer-A collaborative process though which the counselor and client
develop desired treatment outcomes and identify strategies for achieving them. At a
minimum, the treatment plan identifies the abused substance(s) & related disorders,
client motivation, and issues related to tx progress, including relationships with family,
SO's, employment, education, spirituality, health concerns, and legal needs.
